ANTICAVITY FLUORIDE RINSE- sodium fluoride mouthwash 
Military Exchanges

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Exchange Select 213.002/213AE Rev 2
Anticavity Fluoride Rinse, Mint

Tamper Evident Statement

SEALED WITH PRINTED NECK BAND FOR YOUR PROTECTION

Active ingredient

Sodium fluoride 0.05% (0.02% w/v fluoride ion)

Purpose

Anticavity rinse

Use

aids in the prevention of dental cavities

Warning

for this product

Keep out of reach of children

If more than used for rinsing is accidentally swallowed, seek professional assistance or contact a Poison Control Center immediately.

Directiions

Other information

Inactive ingredients

benzyl alcohol, calcium disodium EDTA, cetylpyridinium chloride, disodium EDTA, disodium phosphate, flavor, green 3, menthol, methyl salicylate, poloxamer 407, polysorbate 20, potassium sorbate, propylene glycol, sodium benzoate, sodium phosphate, sodium saccharin, sorbitol, water, yellow 5

Disclaimer

*This product is not manufactured or distributed by Chattem, Inc, distributor of ACT Anticavity Fluoride Rinse.

Adverse reactions

"SATISFACTION GUARANTEED OR YOUR MONEY BACK."

Manufactured For Your Military Exchange

By: Vi-Jon, 8515 Page Aveue

St. Louis, MO 63114

Principal display panel

Exchange Select™

Compare to active ingredient of Act Anticavity Fluoride Rinse*

ANTICVITY

FLUORIDE RINSE

Alcohol free

MINT

IMPORTANT: read directions for proper use.

quality value

18 FL OZ (532 mL)

image descriptionimage description

ANTICAVITY FLUORIDE RINSE 
sodium fluoride mouthwash
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:55301-213
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O) FLUORIDE ION0.2 mg  in 1 mL
Inactive Ingredients
Ingredient NameStrength
BENZYL ALCOHOL (UNII: LKG8494WBH)  
EDETATE CALCIUM DISODIUM ANHYDROUS (UNII: 8U5D034955)  
CETYLPYRIDINIUM CHLORIDE (UNII: D9OM4SK49P)  
EDETATE DISODIUM (UNII: 7FLD91C86K)  
SODIUM PHOSPHATE, DIBASIC, ANHYDROUS (UNII: 22ADO53M6F)  
FD&C GREEN NO. 3 (UNII: 3P3ONR6O1S)  
MENTHOL, UNSPECIFIED FORM (UNII: L7T10EIP3A)  
METHYL SALICYLATE (UNII: LAV5U5022Y)  
POLOXAMER 407 (UNII: TUF2IVW3M2)  
POLYSORBATE 20 (UNII: 7T1F30V5YH)  
POTASSIUM SORBATE (UNII: 1VPU26JZZ4)  
PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
SODIUM BENZOATE (UNII: OJ245FE5EU)  
SODIUM PHOSPHATE (UNII: SE337SVY37)  
SACCHARIN SODIUM (UNII: SB8ZUX40TY)  
SORBITOL (UNII: 506T60A25R)  
WATER (UNII: 059QF0KO0R)  
FD&C YELLOW NO. 5 (UNII: I753WB2F1M)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:55301-213-44532 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product12/24/2004
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC Monograph DrugM02112/24/2004
Labeler - Military Exchanges (001695568)
Registrant - Consumer Product Partners, LLC (119091520)
Establishment
NameAddressID/FEIBusiness Operations
Consumer Product Partners, LLC119091514manufacture(55301-213)

Revised: 3/2025
Document Id: 316ab844-1541-da59-e063-6294a90a4b2d
Set id: cef74e9c-d3b5-4e92-9908-187be97b63ab
Version: 14
Effective Time: 20250328
 
Military Exchanges